Followed by Decompressive surgery with fixation +\- omental transposition as early as possible.

Omentum transposition in acute setting is indicated only in pure contusion in injuries
Omentum transposition should be deferred for at least 2-6 weeks in patients with laceration /maceration
There are high chances of loosing living swollen grey matter .
Patients should be serially evaluated and monitored for progression of odema resolution.

(these observations are derived from a the first ever clinical trial omental transposition with dr Harry Goldsmith (pioneer in omental transposition surgery in acute sci in supported ISCI Iceland)

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